For the purpose of ICD-9-CM/ICD-10-PCS procedural coding, if the procedure is performed on both the left and the right side of the body and documentation supports a bilateral procedure was performed, the service should be coded twice to ensure appropriate reimbursement if there is no code that includes the wording bilateral

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In ICD-10-PCS, if a specific bilateral code does not exist, each side should be coded separately to accurately reflect the procedure performed on both sides.

For the Purpose of ICD-9-CM/ICD-10-PCS Procedural Coding, If the Procedure